Neonatal hypoxic ischemic encephalopathy : safety and feasibility study of a curative treatment with autologous cord blood stem cells (NEOSTEM)

2024-516421-30-00 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 5 Feb 2020 · Status Ongoing, recruiting · 1 EU/EEA countries · 12 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 20
Countries 1
Sites 12

Neonatal hypoxic-ischaemic encephalopathy

The primary objective of this study is to test the safety and feasibility of a curative treatment with autologous cord blood stem cell in neonatal hypoxic-ischaemic encephalopathy.

Key facts

Sponsor
Centre Hospitalier Regional De Marseille
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Congenital, Hereditary, and Neonatal Diseases and Abnormalities [C16]
Trial duration
5 Feb 2020 → ongoing
Decision date (initial)
2024-09-10
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
DGOS_ PHRC

External identifiers

EU CT number
2024-516421-30-00
EudraCT number
2017-002957-12
ClinicalTrials.gov
NCT02881970

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy, Safety

The primary objective of this study is to test the safety and feasibility of a curative treatment with autologous cord blood stem cell in neonatal hypoxic-ischaemic encephalopathy.

Secondary objectives 1

  1. The secondary objectives are to test the efficacy of this curative treatment with cell with neurogenic potential on the prevention of neurologic sequelae, as well as to test the optimum timing of cell preparation administration

Conditions and MedDRA coding

Neonatal hypoxic-ischaemic encephalopathy

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. signs of encephalopathy within 6 hours of age (Sarnat and Sarnat classification, score ≥ 2)
  2. - ± abnormal electroencephalogram or aEEG within 6 hours of age
  3. - therapeutic hypothermia.
  4. - no maternal infection with VIH, HTLV 1 or 2, Hepatitis B or C virus
  5. maternal negative serology for syphilis
  6. written parental consent

Exclusion criteria 8

  1. major congenital anomalies, including severe metabolic diseases
  2. severe maternal-fetal infection responsible for anoxo-ischemia, with immediate
  3. head trauma responsible for intracranial hemorrhage
  4. severe IUGR (PN < 1800g)
  5. child whose death is foreseeable in the short term
  6. parental refusal
  7. child born under X
  8. absence de recueil du sang de cordon.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Occurrence of clinical or paraclinical adverse events during the child's follow-up (short- and long-term), attributable to the injected cell preparation
  2. Feasibility of the study: percentage of children included for whom the cell therapy procedure could be completed according to the required quality criteria.

Secondary endpoints 1

  1. - Preliminary efficacy as measured by neurodevelopmental function till 2 years

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Autologous cord blood-derived viable nuclear cells 50E6/kg prep

PRD11419314 · Product

Active substance
Autologous Cord Blood-Derived Mononuclear Cells
Substance synonyms
Autologous mononuclear cells derived from human cord blood, Hau-UCB-mnc
Pharmaceutical form
SUSPENSION FOR IV INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
500000000 CFU/g colony forming unit(s)/gram
Max total dose
100000000 CFU/g colony forming unit(s)/gram
Max treatment duration
3 Week(s)
Authorisation status
Not Authorised
MA holder
APHM
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Regional De Marseille

Sponsor organisation
Centre Hospitalier Regional De Marseille
Address
147 Boulevard Baille
City
Marseille
Postcode
13005
Country
France

Scientific contact point

Organisation
Centre Hospitalier Regional De Marseille
Contact name
INVESTIGATOR

Public contact point

Organisation
Centre Hospitalier Regional De Marseille
Contact name
project manager

Locations

1 EU/EEA country · 12 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 20 12
Rest of world 0

Investigational sites

France

12 sites · Ongoing, recruiting
Centre Hospitalier Universitaire De Nantes
MEDECINE NEONATALE, 5 Allee De L Ile Gloriette, Cs 69301, Nantes Cedex 1
Centre Hospitalier Universitaire Grenoble Alpes
NEONATOLOGIE, Boulevard De La Chantourne, Cs 10217, Grenoble Cedex 9
Centre Hospitalier Universitaire Rouen
medecine neonatale, 147 Avenue Du Marechal Juin, 76230, Bois-Guillaume
Assistance Publique Hopitaux De Paris
MEDECINE NEONATALE, 48 Boulevard Serurier, 75019, Paris
Centre Hospitalier Regional De Marseille
NEONATOLOGIE, 147 Boulevard Baille, 13005, Marseille
Hospices Civils De Lyon
NEONATOLOGIE, 3 Quai Des Celestins, Bp 2251, Lyon Cedex 02
Centre Hospitalier Intercommunal Toulon / La Seine-Sur-Mer
NEONATOLOGIE, 54 Rue Henri Sainte Claire Deville, 83100, Toulon
Centre Hospitalier Du Pays D Aix Centre Hospitalier Intercommunal Aix-Pertuis
medecine neonatale, Avenue Des Tamaris, 13100, Aix En Provence
Centre Hospitalier Universitaire De Nimes
NEONATOLOGIE, Place Du Professeur Robert Debre, 30900, Nimes
CHRU De Nancy
medecine néonatale, 29 Avenue Du Mal De Lattre De Tassigny, 54000, Nancy
Centre Hospitalier Universitaire De Lille
MEDECINE NEONATALE, 2 Avenue Oscar Lambret, Cs 70001, Lille Cedex
Hopital Saint Joseph
NEONATOLOGIE, 26 Boulevard De Louvain, 13008, Marseille

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2020-02-05 2020-02-05

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) 2017005927-12 PROTOCOLE V6_20240118_NEOSTEM 6
Recruitment arrangements (for publication) 2017-005927-12 _Recruitment arrangements_NEOSTEM 1
Subject information and informed consent form (for publication) 2017-002927-12 NIFC_20190205_NEOSTEM 3
Subject information and informed consent form (for publication) 2017-002927-12 NIFC_mise en banque20190205_NEOSTEM 1
Synopsis of the protocol (for publication) 2017002927-12 RESUME_20190209_NEOSTEM 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-07 France Acceptable
2024-09-03
2024-09-10